FAIRFIELD COUNTY COUNSELING NPI 1700314606

NPI Information

NPI: 1700314606
Provider Name: FAIRFIELD COUNTY COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
60 KATONA DR STE 22
FAIRFIELD, CT
ZIP 06824
Phone: (203) 605-2571
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FAIRFIELD COUNTY COUNSELING is a mental health counselor in Fairfield, CT. FAIRFIELD COUNTY COUNSELING NPI is 1700314606. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

60 KATONA DR STE 22
FAIRFIELD, CT
ZIP 06824-544
Phone: (203) 605-2571

The provider's authorized official is Ashley Boland .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (203) 605-2571.

The enumeration date for this NPI number is 5/23/2017 and was last updated on 5/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1184088700	MEDICAID	CONNECTICUT
2	1154708857	MEDICAID	CONNECTICUT
3	1427408079	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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